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7 Section 1. General Description and Purpose of the Children’s Health Insurance Plans and the Requirements

1.1. The state will use funds provided under Title XXI primarily for (Check appropriate box) (Section 2101)(a)(1)); (42 CFR 457.70):

Guidance: Check below if child health assistance shall be provided primarily through the development of a separate program that meets the requirements of Section 2101, which details coverage requirements and the other applicable requirements of Title XXI.

1.1.1. Obtaining coverage that meets the requirements for a separate child health program (Sections 2101(a)(1) and 2103); OR

Guidance: Check below if child health assistance shall be provided primarily through providing expanded eligibility under the State’s Medicaid program (Title XIX). Note that if this is selected the State must also submit a corresponding Medicaid SPA to CMS for review and approval. 1.1.2. Providing expanded benefits under the State’s Medicaid plan (Title XIX) (Section 2101(a)(2)); OR

Guidance: Check below if child health assistance shall be provided through a combination of both 1.1.1. and 1.1.2. (Coverage that meets the requirements of Title XXI, in conjunction with an expansion in the State’s Medicaid program). Note that if this is selected the state must also submit a corresponding Medicaid state plan amendment to CMS for review and approval. 1.1.3. A combination of both of the above. (Section 2101(a)(2))

CA RESPONSE:

CHIP Program History and 2013/2014 Transition of Healthy Families Children

Shortly after enactment of the federal Children’s Health Insurance Program (CHIP), Governor Wilson developed a program for implementing this initiative in California. He submitted his legislative package to the legislature in August of 1997, and the Legislature worked with the Governor to enact the Healthy Families Program (HFP) in the last weeks of the 1997-98 legislative sessions. The Managed Risk Medical Insurance Board (MRMIB) created the HFP, and the County Children’s Health Initiative Program (CCHIP) under a separate CHIP program. The HFP provided coverage to infants up through the age of two born to mothers enrolled in the Access for Infants and Mothers (AIM) Program. On March 28, 2006, under CHIP SPA #12, the state also received approval to expand coverage to unborn children (pregnant women) under the state’s separate CHIP plan.